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All Journal International Journal of Public Health Science (IJPHS) Jurnal Sain Veteriner Jurnal Kesehatan Lingkungan indonesia Jurnal Ilmu Dasar Jurnal Ilmu Kedokteran (Journal of Medical Science) Jurnal Kedokteran Brawijaya Jurnal Kesehatan Masyarakat Althea Medical Journal Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Majalah Geografi Indonesia Jurnal Kesehatan Jurnal Kesehatan Andalas Journal of Agromedicine and Medical Sciences Biology, Medicine, & Natural Product Chemistry Jurnal Media Gizi Indonesia (MGI) JURNAL KESEHATAN LINGKUNGAN (Journal of Environmental Health) UNEJ e-Proceeding MNJ (Malang Neurology Journal) Universa Medicina Paediatrica Indonesiana Journal Of Vocational Health Studies Jurnal Profesi Medika: Jurnal Kedokteran dan Kesehatan Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya NurseLine Journal Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) Window of Health : Jurnal Kesehatan Al-sihah: The Public Health Science Journal Jurnal Medik Veteriner Journal of Health Sciences JHECDs: Journal of Health Epidemiology and Communicable Diseases JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH Nursing and Health Sciences Journal (NHSJ) JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Berita Kedokteran Masyarakat Jember Medical Journal (JMJ) Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) Journal of Agropharmacy ASPIRATOR - Journal of Vector-Borne Diseases Studies JI-KES (Jurnal Ilmu Kesehatan)
Yunita Armiyanti
Department Of Parasitology Faculty Of Medicine University Of Jember, Jember, Indonesia
Biochemistry, Genetics & Molecular Biology Control & Systems Engineering Dentistry Earth & Planetary Sciences Education Environmental Science Health Professions Immunology & microbiology Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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The Association between Environmental Sanitation and Soil Transmitted Helminths (STH) Coinfection of Tuberculosis Patients in Panti District, Jember Regency Nita Alfianti; Yunita Armiyanti; Bagus Hermansyah; Enny Suswati; Dini Agustina; Diana Chusna Mufida
Journal of Ners and Midwifery Vol 7 No 3 (2020)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v7i3.ART.p354-361

Abstract

Tuberculosis (TB) is a contagious infectious disease caused by the bacteria Mycobacterium tuberculosis. More than 80% of TB cases attack the pulmonary organs and the rest are extra-pulmonary TB. Indonesia is one of the countries with the high number of tuberculosis cases besides India, China, the Philippines, and Pakistan. Aside from being a country with a high TB incidence, Indonesia is also an endemic country for helminth infections, especially Soil-Transmitted Helminths (STH). The high prevalence of STH infections in Indonesia allows STH coinfection in TB patients to cause decreasing immunity, thus affecting the outcome of TB infection. STH infection is very closely related to environmental sanitation. The purpose of this study was to identify and determine the association of environmental sanitation risk factors to the coinfection of Soil-Transmitted Helminths (STH) in tuberculosis patients in Panti District, Jember Regency. This type of research was observational research with cross-sectional analytic design. Of the 49 TB patients who were undergoing treatment at the Panti Health Center, 32 people were willing to be respondents, but only 25 people collected stool samples. Fisher's test results showed that the incidence of intestinal co-infection in TB patients in Panti District, Jember Regency was 12% and was caused by two STH species, namely A. lumbricoides and Hookworm. Environmental sanitation in TB patients was mostly good, e.g 54.5% of respondents had good environmental sanitation, but there was no significant association between environmental sanitation and the incidence of intestinal co-infection in TB patients in Panti District, Jember Regency (p> 0.05).
Effect of micronutrient deficiency on protozoal infection in stunting toddler Utami, Wiwien Sugih; Ramadanti, Novi Awalia; Rachmawati, Dwita Aryadina; Ratnawati, Leersia Yusi; Armiyanti, Yunita; Hermansyah, Bagus
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 12 ISSUE 4, 2024
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2024.12(4).233-241

Abstract

Background: Stunting is a developmental disorder caused by chronic inadequate nutritional intake in toddlers, leading to deficiencies in various nutrients, including iron and zinc. This can weaken toddlers' immunity, making them more vulnerable to infectious diseases, such as intestinal protozoa. An infected digestive tract can interfere with absorbing nutrients and reduce appetite, causing the infection to persist and become chronic. Chronic infection triggers the formation of pro-inflammatory cytokines that affect bone growth, hindering growth and causing stunting.Objectives: This study confidently investigates the correlation between iron and zinc micronutrient intake and intestinal protozoan infection in stunting toddlers in Jember District.Methods: The research is observational and cross-sectional, with 568 stunting toddlers aged 0-59 months in Jember District, East Java as study subjects. Iron and zinc intake were collected through 2x24-hour food-recall questionnaire interview and processed using the Nutrisurvey software. Protozoan infection status in toddler feces samples was identified using direct smear and modified Ziehl-Neelsen methods. The data analysis method chosen was the Spearman correlation test.Results: The study found that stunted toddlers in Jember District had mostly deficient micronutrient intake. The average iron intake is 2.56±3.06 mg and the average zinc intake is 1.8±1.47 mg. Protozoan infection was found in this study has a prevalence of 15.7%, with identified species including Entamoeba histolytica (3.3%), Giardia lamblia (2.6%), Cryptosporidium parvum (3.2%), Blastocystis hominis (5.3%), and mixed infections (1.2%). The statistical analysis confirms that there is no significant correlation between the intake of micronutrients iron (p=0.91;r=0.005) and zinc (p=0.76;r=0.013) and intestinal protozoan infection in stunting toddlers in Jember District.Conclusions: Based on the data, protozoan infection may be caused by multiple factors, such as parenting practices and family socioeconomics. However, improving nutrition by education and giving additional supplementation are crucial to reduce the prevalence of malnutrition in toddlers.
Spatial Map Of Hygiene Risk And Infection Of Soil-Transmitted Helminths In Stunting Toddlers In Kaliwates Yunita Armiyanti; Dimas Aji Bimantara; Azham Purwandhono; Achmad Maududie; Wiwien Sugih Utami; Bagus Hermansyah
Window of Health : Jurnal Kesehatan Vol 9 No 1 (January 2026)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.vi.2595

Abstract

Soil-transmitted helminths remain major neglected tropical infections affecting approximately 24% of the global population, particularly in areas with poor sanitation and hygiene. Chronic infection may contribute to malnutrition and stunting in children. This study aimed to analyze the spatial distribution of soil-transmitted helminth infections and hygiene risk among stunted toddlers in Kaliwates District. A cross-sectional study was conducted from August 2023 to May 2024 involving 103 stunted toddlers. Stool samples were examined using sedimentation and flotation methods, and hygiene data were collected through caregiver interviews. Fisher’s exact test and Moran’s Index were applied. The infection prevalence was 8.7%, predominantly hookworm. No significant association was found between hygiene factors and infection (p>0.05). Spatial analysis indicated a random distribution pattern. These findings suggest that deworming programs and hygiene promotion should be maintained, and spatial mapping may support targeted interventions.
Relationship Between Patient Satisfaction and Dimensions of Health Service Quality with Revisit Interest of Outpatient in Lumajang Health Center Mirawati; Armiyanti, Yunita; Anisah Ardiana
Journal of Ners and Midwifery Vol 11 No 3 (2024)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v11i3.ART.p301-311

Abstract

High outpatient revisit interest reflects good health services that meet patient expectations. However, in Lumajang, 25 health centers experienced a decline in outpatient revisit numbers. This study aimed to examine the relationship between patient satisfaction and dimensions of service quality with outpatient revisit interest at Lumajang Health Center. Using a cross-sectional design, the study involved 386 outpatients selected through purposive sampling. Inclusion criteria included health centers with a decline of over 200 visits, patients aged 15-50 years, literate, spiritually healthy, and visiting for the first time between December 2023 and February 2024. Exclusion criteria were severe illness or mental disorders hindering questionnaire completion. Data were collected through direct questionnaires and analyzed using chi-square tests. Results showed that 90.4% of patients were satisfied with health services. Service quality dimensions scored as follows: tangibility (91.2%), reliability (60%), responsiveness (93.8%), health insurance (95.6%), and empathy (87.8%). The chi-square analysis revealed a significant relationship between responsiveness and revisit interest (p=0.034). However, no significant relationship was found between revisit interest and satisfaction, tangibility, reliability, health insurance, or empathy (p>0.05). In conclusion, while most patients expressed satisfaction with the services provided, the key factor influencing revisit interest was the responsiveness of health workers. This highlights the importance of responsive healthcare in fostering patient loyalty and improving outpatient revisit rates.
PERSONAL HYGIENE AS A RISK FACTOR FOR STH INFECTION AMONG FARMERS IN JEMBER REGENCY Emilia Angelica; Jauhar Firdaus; Bagus Hermansyah; Wiwien Sugih Utami; Yunita Armiyanti
Journal of Vocational Health Studies Vol. 9 No. 3 (2026): March 2026 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V9.I3.2026.169-175

Abstract

Background: Soil Transmitted Helminth (STH) infections remain one of the main health problems in developing countries, including Indonesia with prevalence rates ranging from 2.5% to 62%. Poor personal hygiene is a key risk factor contributing to the increased prevalence, especially among farmers. Jember Regency, an agricultural region where most residents work as farmers, presents a higher vulnerability to STH infections due to frequent contact with soil. Purpose: This study aimed to analyze the association between personal hygiene and STH infection among farmers in Jember Regency, East Java. Method: This study was a cross-sectional design involving 100 farmers selected using multistage sampling. Structured questionnaires were used for hygiene data collection. Identification of STH from fecal samples used sedimentation and flotation techniques. The relationship between hygiene practices and STH infections was tested using Cramer's V. Result: The prevalence of STH infections in farmers was 10% and all of them were hookworm infections. Most respondents, including those infected with STH, had moderate hygiene category. The results of statistical tests showed a significant relationship between personal hygiene and STH infections among farmers in Jember district. Conclusion: The strong link between personal hygiene and STH infection indicated that existing practices might not be adequate for safeguarding individuals in farming environments. On the other hand, maintaining personal hygiene was essential in the preventive approach for the farming community in Jember.
Co-Authors Achmad Maududie Adinda Putri Yusri Amrina Adrial Adrial Ahmad Hasbi Al-Muzaky Ahmad Hasbi Al-Muzaky Ahmad, Shabrina Izzata Afiyati Ali Machrus Amrina, Adinda Putri Yusri Andriani, Made Prasanti Angga Mardro Raharjo Anisah Ardiana Anthia Ayu Nandira Ardyansyah, Rizky Robeth Aulya Rahmi Ayundasari, Asti Ayundasari, Asti Azham Purwandhono Azham Purwandhono Aziz , Ayu Munawaroh Aziz, Ayu Munawaroh Bagus Hermansyah Bagus Hermansyah Bagus Hermansyah Bagus Hermansyah Bagus Hermansyah Brillian Adexa Yudinda Cholis Abrori, Cholis Cicih Komariyah Desi Dwi Cahyani Diana Chusna Mufida Dicky Setiawan Dimas Aji Bimantara Dina Helianti Dini Agustina Drajad, Rahadinda Mutia Dhamar Dwita Aryadina Rachmawati Edi Widjajanto Elly Nurus Sakinah Elvia Rahmi Marga Putri Emilia Angelica Enny Suswanti ENNY SUSWATI Eny Nurmaida Epafroditus Sanjaya Adiguna Erfan Efendi Erma Sulistyaningsih Erma Sulistyaningsih Evi Umayah Ulfa Febrianti, Zahrah Fitri, Nadya Eka Fitriyah, Ainun Nadiratul Ghaiska Najma Amnur Hanu Neda Septian Heni Fatmawati Hermansyah, Bagus Hidayat Teguh Wiyono Himma, Alyatul Ida Srisurani Wiji Astuti Ika Rahmawati Sutejo Imtiyaz, Andi Hilman Irawan Fajar Kusuma Ivan Iqbal Baidowi Jauhani, M. Afiful Jauhar Firdaus Kartika Senjarini Kholifaturrohmah, Sakinatus Sariroh Kholifaturrohmy, Muhammad Rizqi Komang Yunita Wiryaning Putri Kristianningrum Dian Sofiana Laily Nurhayati Laksmi Indreswari Leersia Yusi Ratnawati Loeki Enggar Fitri M. Ali Shodikin Mash’ab Zirrun Al-Qomah Mei Diastutik, Vike Mirawati Moh Mirza Nuryady, Moh Mirza Muhammad Afiful Jauhani Muhammad Afiful Jauhani Muhammad Alif Taryafi Nabil Athoillah Nabila Putri Anissa Nanda Nuramna Nidya Husna Kholidah Nihayah Lukman Nisrina Salsabila Firmansyah Nita Alfianti Nizar Fiska Bayu Agustian Nuri Nurmaida, Eny Nurmaida, Eny Nurus Saffana Yulianto Pangestu, Ahmad Yudho Hadi Primadana, Aditya Rachmawati, Dwita Aryadina Rahardi, Verdian Rahardjo, Angga Mardro Rahmadhan, Adiz Dwiputra Rahmawati, Iis Rahmi, Aulya Ramadanti, Novi Awalia Ramadanti, Novi Awalia Ramadhani, Rafindra Ratnawati, Leersia Yusi Rezza Putri Mahartika Rini Riyanti Risyanto, Chusnul Aulia Arisny Putri Rohmah, Etik Ainun Rosita Dewi Sa'bani, Begawan Saiful Akhyar Lubis Salsabilla, Safira Putri Nur Saputra, Antonius Dwi Sheilla Rachmania, Sheilla Sugeng Setyo Utomo, Sugeng Setyo Sulistyaningsih, Erma Syamsuddin, Alif Fazduani Teguh Wahju Sardjono Teguh Wahju Sardjono Tohari, Achmad Ilham Widhiasari Normaningtyas Wiwien Sugih Utami Wulandari, Lindi Priyantika Tri Yoga Setyo Yudha Nurdian Yudha Nurdian Yudi Wicaksono Zahrah Febianti Zulaikha Rizqina Rahmawati